Surgical endodontic treatment of refractory periapical periodontitis with extraradicular biofilm
| Autor: | Hanguo Wang, Chengjun Yu, Yang Gao, Qing Yu, Lingyun Su |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Dental Fistula Prevotella Dentistry medicine.disease_cause Curettage Tooth Apex Refractory Recurrence Streptococcal Infections Bacteroidaceae Infections Humans Medicine Treatment effect General Dentistry Periapical periodontitis business.industry Streptococcus Periapical Tissue Prevotella oralis Apicoectomy Biofilm medicine.disease Otorhinolaryngology Biofilms Retreatment Microscopy Electron Scanning Retrograde Obturation Female Surgery Anaerobic bacteria Streptococcus sanguis Oral Surgery business Porphyromonas gingivalis Facultative anaerobic bacteria Periapical Periodontitis Follow-Up Studies |
| Zdroj: | Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 110:e40-e44 |
| ISSN: | 1079-2104 |
| Popis: | Objective This study explored the effect of surgical endodontic treatment of refractory periapical periodontitis with extraradicular biofilm. Study design Endodontic surgery was conducted on a case of refractory periapical periodontitis with extraradicular biofilm. During the procedure, the samples of periapical tissues were collected for microbiologic analysis. The resected root ends were observed under scanning electron microscope. The patient was recalled every 3 months to evaluate the treatment effect for 1 year. Results The samples yielded 1 type of facultative anaerobic bacteria (Streptococcus sanguis) and 2 types of obligate anaerobic bacteria (Porphynomonas endodontalis and Prevotella oralis). Mature bacteria biofilms were formed on the surface of the root apexes. At the 1-year recall visit, the radiograph and the clinic examination showed the refractory periapical periodontitis was cured successfully. Conclusions The periapical bacterial biofilm may contribute to the refractory periapical periodontitis. Endodontic surgery is a good option for definitive removal of an established extraradicular infection. |
| Databáze: | OpenAIRE |
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